LAUREL B SHEPPARD FNP
NPI 1407802341
Nurse Practitioner - Family in Gresham, OR

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
4101 NE DIVISION ST, GRESHAM, OR 97030(503) 666-6575 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laurel B Sheppard Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREL B SHEPPARD FNP (NPI 1407802341) is an individual family provider in Gresham, Oregon, licensed in Oregon (10007961) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1407802341
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREL B SHEPPARDCredential: FNP
Location Address4101 NE DIVISION STGresham, OR 97030-4617
Mailing Address4101 Ne Division StGresham, OR 97030-4617 · (207) 666-6575
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 25, 2006
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
NPI 1407802341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 10007961
4101 NE DIVISION ST, Gresham, OR 97030

Other Identifiers 2

Medicaid30343120NH
Medicaid251530099ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Laurel B Sheppard Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810956059
PECOS Enrollment IDI20251013003718
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
4101 NE DIVISION ST, SUITE 100
GRESHAM, OR 97030
Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Case Manager/Care Coordinator
4101 NE DIVISION ST
GRESHAM, OR 97030
Specialist
4101 NE DIVISION ST, # 100
GRESHAM, OR 97030
Case Manager/Care Coordinator
4101 NE DIVISION ST
GRESHAM, OR 97030
Social Worker (Clinical)
4101 NE DIVISION ST
GRESHAM, OR 97030
Peer Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Sheppard's NPI number?

The NPI number for Laurel Sheppard is 1407802341. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Laurel Sheppard located?

Laurel Sheppard practices at 4101 NE Division St, Gresham, OR 97030. The listed phone number is (503) 666-6575.

What is Laurel Sheppard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laurel Sheppard enrolled in Medicare?

Yes. Laurel Sheppard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Laurel Sheppard was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.